680137.pdfa, .
a
BUILDING DEPARTMENT
PERMIT APPLICATION
17 AM
NAMM (OR NIALME OF BUSINESS)
ox /V.
Applicant M
les
Inside Heavy Lines
POSTED ON KROLL MAP NO.:
JOB ADDRESS
/ 0 ss
SIDE YARD SETBACK
USE ZONE
STRE
LOW.
P
,EPHONE NUMBEE--
IrEMIGHT
BUIL!
5
PERMIT
bou 1 1
15
NUMBER
t 41D
IACK
REAR YARD SETBACK
P-7
�. 1) ' A r
A.�)
VACANT SITE
8158 13 NO
,a&
I VARIANCE NUMBER Ili
R/W g/0 CY THIS PROPERTY
EMG STREET R/W ..r ... .. FT. DMITICIEN
COMP. PLAN ST. R/W
TELEPHONE NUMBER
I','
NAME
"S
CITY
WIDLEPHONE NUMBER
METTSIZE I SERVICE SIZE
4d j— ( (
CLEARANCE
CHEVW BY
NUMBER
223-0/— -TO�Z8
CITY LICENSE NUMR R
REMARKS
Legal Dencriptlon of Property (Show Below or Attach Four Copies)
A:"-7
TYPE CONNECTION
BY
PERO. TEST
PRHbFZTUMBMR
REMARKS
27RE ZONE TYPE OF CONSTRUCTION STREET ImpnoM
YES
PECTOR REQUIRED
13 YES
JOCCUPANCY GROUP
RESIDENTIAL GAS
LINE
NON-RESIDENTIAL F� SIGI.T
RETAINING
DEMOLISH WALL
ALTER EXCAVATE PENCE
OR FILL ( ......... x . ........ In.)
ElREPAIR PRE -MOVE swim
INSP. POOL
PLAN CHECKED BY
#I
REMARIr
",%s-Les 7)1^_1jLVV&-,t,09.r
. / V
, (�
N
el
N MBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
alual
V ELt
Receipt
T3 U t L--'D 1, *,':1 G-
Plan Check No....
PROPOSED USE
BUILDING
m v L_-ri rt_15�- FrA.AA I L Y rZ W-5 i D C_ �t=
PLOT PLAN (Indicate Building settlaCIES, abutting streets)
PLUMBING
ft
HEAT & GAS LUTE
0
PENCE
SIGN
RETAINING WALL
14
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
196:i
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In-
formation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws rogU-
ATTENTION
lating construction; and in doing the work authorized thereby, no Parson
will be employed in violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHOMZES
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY THE'
WORK NOTZD
ahall be completed in ninety days; MOVED -IN BUILDINGS almil be com-
plated In six months.)
JR—CINATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
NOTE: �Appficant Subject to Plan Check Fee
PR 6.1107
Thin Permit covers work to be done on private property ONLY.
Any oonstraction an the public donvain (curb@, sidewalks, driveways.
marquees, eta.) will require mapariste permission.
n]
Z
P4
No.
FSO
�_ d? *Y0 I N 3 1/ 2
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his Dep-
uty; and fees are paid, and receipt is ac-
knowledged in space provided.
j I 1 11 1 0 1
t
r 0
OL Ir
I k 1 0 Of I
Or
9 9 0 0 9 jw
t
p
Ol
p
91
r r
00
0,00000 6
p
4 p 0
d I
9 1
-.* Ol L r
L p I a
Ol
I d
r 4
'd
L 0
I t
55� hoe
OOO,��e oto,,, .00
oO
k
000e
I p
Or
61
r .... d4 r, 1 0 Z�
Ol 1 0 1 "1
;000
dto�:G
I I I L 0 0 '1., o
r 4 1 Or.
.19 r O� I
ll� r r'j 1 0 Or
-00000- '00, 9 1 r
.00
00 1.
p r' '14
cpp� r r
Or , A 9
91
91
O."P
T
1-t I
. r 90 , -,Of
10
Ol
Or
19 9
T
Or L 0 �O
r I r r 00,
r L
4Od..
r L.r Or.'
1 Ir
40000 L
. 4. ! I . r
9 r Or
r,4 4. L 0
91" 4
. ........
Od.
r
919
0 Of
id/
t:
14
09
r O_r
%
, %
OOL
- Or
� a
At 1055 PUGET DRIVE Building Permit Number 68ol,37
Occupancy established by this certificate:
II
Fire Zone No. Stories
Type Const. V I HOUR Basement
Floor Load signs in place (per Sec. 2 3 08 U.B.C.) — Capacity signs posted (per Sec. 3 3 0 1 (i) U.B.r.)
".0, Floor load and room capacity signs, when required, must remain posted at all tittles.
THE APARTMENT HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH
PROVISIONS OF THE EDMONDS BUILDING CODE AND WITH UNIFORM BUILDING CODES.
Issued this 12th day of September 19 68
CHIEF BT TIT DT G OFFICIAL B
V
This certificate shall be posted in a conspicuous public area and shall.not be removed, mutilated or obscured and shall be main-
tained in legible condition at all times. Any change of occupancy requires a new certificate.
NIL I
I t 1A I I 1 .1
It. I '. X,
I 6� 1 .1
:0,-t jNli �ik I I,. I"I'l I t 2 ;1 1 11 1 1, 1 1 1 1 1 It 'I I I- IN W ,I 1 4 4 1. 1 1�'; I I I
"I I I I It t. It I" I I I 1. 0., NC 1. 11 t I
I.; t- I. i I, N 1 1. 1.. 1 It I I I I
I I IN T, 4 tt�
1 :4 11
6 1 1 1 1
7 1; —1 IN o`t, r It
f 18 4�,.4 �-rt
t, Aft 11I I It Nt
N1,
tN. .,t L I
It,
'IN I I . I I "I i I I
, I I "� -
I N� l.VIL I, I
- I I � I It 1.
It I'. I-, , I I .I
it I I I
I, I 'IN I t 'It I
I .
I I N,
L I I I. t
If
k I- I I I I I . , t, t
r, Ti t, I 1." 4
10
I It I r,
lk4.q' 2. 1
It I, It" I I
I I Nt I
I 1 4
t-jti�i I , , .1 1
4 1 — I I . I : I � I � I
7.,L � I. �� $ I. Z it 0
iN UI -Z
II oI: 4 1 1
Nit A,jN,4 I; IA 4 ....... I,
11 ft
00 � I , I
00.
It:
7i
I
P-To 'j, t,�Ir
it. I ., -M I � ttt;'
IttvI. U I, .,.,I It
It .�.I! I
I LL
IN
IOJ a
Ir
rA
I
1 -4 11 PUN
uj.
souji jan.1 v aou qj
1 4
I oweij
I, 1 1 4 1
(q2noa)
f -4
t I (jejpp�d) 2ulqwnld
I 1 4
uol4epun
I
It ;IA... 1 4`1; assedima
I pI',rt ''I I, I r I '1. 11
I
I I I IN
SNOU'dSM jo amom
I k, 47
e
III I 1 4 _I I I
It I I I I I
I,
1 4 1 1 t I I I I I
I "I I I-
I 1 .14 1 1 1 1 1 4 1 1' 4 1 1 0.- 1 1 1 .1 1 1 1 1
I r - 4 1 It ip I t f
It I
7 p
IN
IN,
'NIN
It IN
IL
It
I
It.
It
It'
Ilk, I
Iti
4L 4
It
It
rI
Ito Ik
Ilk
IN L
1 4 1 r,
I I I i
-ift, t
I dI I, I t t
t L I
It
p
It
zep
k
I, IN
IN
I l� 4
It
VI t
IN
tj ILI
It. L.r III I
It
kilt44
It
I
It I ILI
I
It
tN N14 . . . I . . . 'Lt t
I It
It,
INN C
ANIL dr